tag:blogger.com,1999:blog-850292865847694192.post3947661130408462961..comments2019-01-03T13:18:10.483-08:00Comments on Chinese Medicine Case Studies: Yáng Vacuity InsomniaEran Evenhttp://www.blogger.com/profile/15860042301777111083noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-850292865847694192.post-228822183943680382013-05-15T15:28:36.923-07:002013-05-15T15:28:36.923-07:00This makes me realize that I&#39;ve been operating...This makes me realize that I&#39;ve been operating from the idea that if the formula doesn&#39;t cause side-effects, it must be in the ballpark. Obviously, that&#39;s a low bar. Thanks Steve and Eran.Jasonhttps://www.blogger.com/profile/02329190817797035849noreply@blogger.comtag:blogger.com,1999:blog-850292865847694192.post-6108088082541821482013-05-15T15:16:21.633-07:002013-05-15T15:16:21.633-07:00Hey Steve, Yes, I totally agree, and do think that...Hey Steve, Yes, I totally agree, and do think that he changed the formula because she had absolutely no change whatsoever. I was just being silly and taking a jab at the &#39;Huo Shen Pai&#39;. :)<br /><br />In actual fact, in my own clinic I too dose quite high and always expect to see some sort of change within the week, and if nothing happens, I would typically alter the formula, unless of course as you mentioned, I am completely sure of my diagnosis, and the pulse/presentation fits the original formula. <br /><br />Thanks Steve!<br /><br />Eran<br /><br />Eran Evenhttps://www.blogger.com/profile/15860042301777111083noreply@blogger.comtag:blogger.com,1999:blog-850292865847694192.post-23508663550700850972013-05-15T15:08:53.799-07:002013-05-15T15:08:53.799-07:00Hi Eran-
While it may be the case that he was loo...Hi Eran-<br /><br />While it may be the case that he was looking for an excuse to use fuzi, I think it is reasonable to change a formula strategy completely if there was little improvement. In my experience, because the formulas in the SHL and JGYL are quite focused and strong (high dosages of chaihu, baishao, or fuzi for example), when the patient reports no change, it means the focus should be changed as well. Unless I am convinced of my diagnosis and I just need to increase dosages of herbs, I will change the formula.<br /><br />Best<br />-SteveStephen Bonzak, L.Ac., Dipl. OMhttps://www.blogger.com/profile/06610785982913924362noreply@blogger.comtag:blogger.com,1999:blog-850292865847694192.post-51879708089384427892013-05-15T14:07:15.717-07:002013-05-15T14:07:15.717-07:00Hey Jason,
It does kinda seem like that, and from...Hey Jason,<br /><br />It does kinda seem like that, and from reading a few of his other cases, he would do this often, expecting dramatic results within the first week. This time his assumption was right on, but I wonder how many times this has not worked for him (which he would obviously not publish). Maybe he felt the need to make the change because after a week, none of her symptoms improved, but sometimes I feel that these &#39;so called&#39; fire spirit practitioners, try to find any reason to justify supplementing yang. Nonetheless, I found this to be an interesting case worthy of translation. Eran Evenhttps://www.blogger.com/profile/15860042301777111083noreply@blogger.comtag:blogger.com,1999:blog-850292865847694192.post-78145362815878251782013-05-15T13:50:31.122-07:002013-05-15T13:50:31.122-07:00Thanks for an interesting case. As it&#39;s writte...Thanks for an interesting case. As it&#39;s written, Dr. Feng&#39;s method seems to be, try this then try that. He also makes an assumption (that turns out to be correct) that if her 40 years of insomnia doesn&#39;t improve the first week, the treatment is wrong. Maybe that&#39;s the key?Jasonhttps://www.blogger.com/profile/02329190817797035849noreply@blogger.com